11921 SILVER LAKE DR 2022-04-05 - Laserfiche WebLink

• 110 4.1 STATEMENT OF COMPLIANCE In accordance with W.A.C. 296-62-00721 and PSCAA Regulation III,Article 4,Washington Asbestos Testing LLC performed an asbestos survey for property address 11921 Silver Lake Drive, Everett WA 98208.Should employees or contract personnel encounter any suspect ACM (asbestos containing materials) it is their 1. Contact a representative of the owner or the owner themselves. 2. Consult the inspection report (survey)to determine whether or not the suspect material contains asbestos. 3. If the suspect material was not sampled and analyzed in the inspection report (survey),then the material must be presumed to contain asbestos until proven otherwise by sampling the new material and undergoing PLM analysis. 4. Make sure to notify all employees and contractors working on this project of the location and type of materials found to contain asbestos. The textured wallboard outside of the kitchen and bathroom must be considered asbestos positive."'1,850 Sf. The cement siding beneath the first layer of siding testsed positive for asbestos.^'2,000 Sf. (Exact Sf Unkown) The origional exterior siding is painted with lead paint above the regulated limit. '3,000 Sf. I hereby attest: The inspection report(survey) has been made available to me. I will inform all subcontractors of the location of any materials that contain asbestos. I am authorized to sign on the behalf of my company. Contractor: Owner's Rep: Signature: Signature: Print Name: Print Name: Title: Title: Date: Date: Page 20 of 30